Chirurgische dilemma's: Behandelkeuzes bij de extreem atrofische onderkaak

Translated title of the contribution: Surgical dilemmas. Choice of treatment in cases of extremely atrophic mandibles

C. Stellingsma*, A. Vissink, G. M. Raghoebar

*Corresponding author for this work

    Research output: Contribution to journalReview articlepeer-review

    3 Citations (Scopus)
    5 Downloads (Pure)


    At the present time, treatment of the extremely atrophic mandible consists largerly of the insertion of endosseous implants, which provide retention and stability to fixed or removable dentures. In some cases the insertion of short implants, without surgical pretreatment, in the interforaminal area of the mandible is possible. If the bone volume is considered to be insufficient there are several techniques and materials to augment the extremely atrophic mandible, making the insertion of longer implants possible. Dilemmas in the surgical treatment of the extremely atropfic mandible are whether endosseous implants should be employed, whether the mandible needs to be augmented and which technique should be chosen. An insufficient number of comparable clinical studies have been published to justify identifying any one method of treatment as the preferable on.The innovations in imaging techniques and the accompanying software will lead to advances in surgical treatment. The precise placement of implants will as a result become more exact, thereby possibly avoiding augmentation procedures and so diminishing complication and morbidity rates.

    Translated title of the contributionSurgical dilemmas. Choice of treatment in cases of extremely atrophic mandibles
    Original languageDutch
    Pages (from-to)655-660
    Number of pages6
    JournalNederlands tijdschrift voor tandheelkunde
    Issue number12
    Publication statusPublished - Dec-2008


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